ICDcodes.org
FY2027

W45.3XXAFishing hook entering through skin, initial encounter

Billable

Is W45.3XXA billable?

Yes — W45.3XXA is billable for FY2027. W45.3XXA is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. W45.3XXA may be submitted for encounters from October 1, 2026 through September 30, 2027.

W45.3XXA at a glance

CodeW45.3XXA
DescriptionFishing hook entering through skin, initial encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "A"initial encounter

What does the 7th character "A" mean in W45.3XXA?

In W45.3XXA, the 7th character A means initial encounter. The 7th character is required for W45.3XXA to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

How is W45.3XXA listed in the External Cause Index?

The External Cause of Injuries Index lists these routes under W45.3, the nearest indexed parent of W45.3XXA. This is a separate index from the Alphabetic Index and is where external cause codes are looked up.

  • Contactwithfishing hook (accidental)
  • Foreign bodyentering throughskinfishing hook

Excludes1 — never code together — inherited from W20-W49

The conditions below can never be reported together with W45.3XXA on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • assault (X92-Y09)
  • contact or collision with animals or persons (W50-W64)
  • exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-)
  • intentional self-harm (X71-X83)

Excludes2 — not included here — inherited from W45

The conditions below are not part of W45.3XXA, but a patient may have both at the same time. When documentation supports it, W45.3XXA and the excluded code may both be reported.

  • contact with hand tools (nonpowered) (powered) (W27-W29)
  • contact with other sharp object(s) (W26.-)
  • contact with sharp glass (W25.-)
  • struck by objects (W20-W22)

How long has W45.3XXA existed?

W45.3XXA first appears in FY2026.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.